Skin and tissue parasites Flashcards
What is the life cycle of leishmania?
Sandflies from human to human
What are the three species of leishmania that cause cutanoeus leishmaniasis?
L. major
L. Tropic
L. mexicana
What are the symptoms of cutaneous lesihmaniasis?
Raised, dry, crusty lesions at site where parasites were inoculated. Lesions grows, then ulcerates. Self limiting
What are the symptoms of mucocutaneous leishmaniasis?
Infection initially presents as a typical cutaneous lesions. But much later, lesions in the mucus layer develop
Mucocutaneous leishmaniasis is caused by what?
Parasite metastasis and an aggresive immune response
What is the treatment for mucocutaneous leishmaniasis? How do you diagnose it?
Chemo
Serum has parasites inside of macrophages
Are immunoglobulins useful for mucocutaneous leishmaniasis infections?
no
What is onchocerca volvulus?
Nematode that is transmitted by bite of a black fly, and causes river blindness
What is the life cycle of onchocerca volvulus?
Black fly injects adults, migrate under skin/through tissues to the eye.
What are the symptoms of onchocerca volvulus? (3)
Diffuse skin itching, sclerosis keratitis, blindness
Onchocerca volvulus cases occur where geographically?
Africa
What percent of individuals infected with onchocerca volvulus go blind?
5-10%
How severe is the itching with onchocerca volvulus migration through the skin?
Really, really bad–people commit suicide
How do you diagnose onchocerca volvulus?
Observe microfilaments from skin snips
What is the treatment for onchocerca volvulus?
Ivermectin
What is Mansonella? What are the three species that cause disease?
Similar to river blindness, but less severe
M. perstans
M. Streptocera
M. Ozzardi
What are the symptoms of Mansonella? Lab results?
Arthralgia, diffuse itching.
Eosinophilia
What is the life cycle for Mansonella?
Infected midge
Dracunculosis is caused by what?
Dracunculus medinensis (guinea worms)
What is Guinea worms?
Dracunculus medinensis Nematode in the foot skin, release nematodes into the water.
What is the life cycle of Guinea worms?
Blisters on the foot lead to release to reservoir in lakes. Drinking water infects it.
What is the prevention technique for Dracunculus medinensis?
Clean water
How do you diagnose Dracunculus medinensis?
Wash out microfilariae from ulcer
What is the treatment for Dracunculus medinensis?
Take a stick and wind worm out.
Cutaneous larval migrans is caused by what?
Hookworms that infect dogs and cats infecting humans. ancylostoma
What is the life cycle of Cutaneous larval migrans?
Larvae penetrate skin as accidental host, get lost. die and cause inflammation somewhere
Serpentine pattern across the foot = ?
Cutaneous larval migrans
What is the causative agent of scabies?
Sarcoptes scabiei